Hospital Israelita Albert Einstein, Department of Radiology, Av. Albert Einstein, 627/701, 05652-900 São Paulo, SP, Brazil.
Bristol Royal Infirmary, Department of Oral and Maxillofacial Surgery, Marlborough Street, Bristol BS2 8HW, United Kingdom.
J Neuroradiol. 2022 Jan;49(1):17-32. doi: 10.1016/j.neurad.2021.04.033. Epub 2021 Apr 14.
Orthognathic surgery is the standard procedure to correct congenital, developmental, or acquired dentofacial deformities. The maxillomandibular relationship corrected by orthognathic surgery can improve facial esthetics, masticatory function, articulation, and breathing. The most common types of osteotomies include the combination of Le Fort I osteotomy, bilateral sagittal split mandibular ramus osteotomy, and genioplasty. High-resolution low-dose computed tomography is useful for evaluating the facial skeleton and soft tissues after surgery as well as for depicting a variety of possible complications. This article reviews the postoperative imaging findings of the most common orthognathic surgeries and their potential complications on multidetector-row computed tomography.
正颌外科是矫正先天性、发育性或获得性牙颌面畸形的标准方法。正颌外科矫正的颌骨关系可以改善面部美观、咀嚼功能、发音和呼吸。最常见的截骨术类型包括 Le Fort I 截骨术、双侧矢状劈开下颌升支截骨术和颏成形术的联合应用。高分辨率低剂量计算机断层扫描有助于评估术后的面颅骨和软组织,并描绘出各种可能的并发症。本文回顾了最常见的正颌手术的术后影像学表现及其在多排 CT 上的潜在并发症。